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Daryl MacLean's Beach Party Cruise 2019 Vacation Registration Form
How did you hear about the trip? *
Room Category Requested *
Promo Code (optional)
Your answer
Number of Guests In Your Cabin (MAX 4) *
Travel providers require that we collect each passenger's date of birth and gender. Name must appear exactly as it is on traveler's passport or government approved travel document, or boarding may be denied.
First Guest Name - (Must be EXACTLY as it appears in your Passport) - please use FIRST MIDDLE LAST *
Your answer
Guest 1 Birthdate *
MM
/
DD
/
YYYY
Guest 1 Gender *
Second Guest Name - (Must be EXACTLY as it appears in your Passport) - please use FIRST MIDDLE LAST *
Your answer
Guest 2 Birthdate
MM
/
DD
/
YYYY
Guest 2 Gender
Special requests, food allergies, etc
Your answer
Billing Address *
Please include Postal or Zip Code
Your answer
Home Phone *
Your answer
Cell or Alternate Phone
Your answer
Email *
Your answer
Alternate Email
Your answer
Travelling with another couple? If yes, indicate their name.. We will attempt to book you near each other, but this cannot be guaranteed.
Your answer
Payment Details
Initial deposit $100.00 CAD per person due at time of booking and is NON-REFUNDABLE, Second deposit of $250.00 CAD per person due on August 15 2018. Remaining balance due October 15th 2018 and will be automatically billed to the card(s) provided, unless you contact our office prior to 5pm (Eastern) October 8th 2018. If you would like to make partial payments in ANY amount prior to October 15th, please contact Marc and we will make arrangements.
Split Payments Evenly Between Two Cards? *
Name On Card *
Your answer
Card Number *
Your answer
Expiry Date (MM/YY) *
Your answer
CVV (3 digits on back of most cards, 4 on front of AMEX) *
Your answer
Name On Card #2
Your answer
Billing Address
Please include Postal or Zip Code
Your answer
Card #2 Number
Your answer
Card #2 Expiry Date (MM/YY)
Your answer
Card # 2 CVV (3 digits on back of most cards, 4 on front of AMEX)
Your answer
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